Individual
MRS. MELANIE POWERS NYSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NBC-HWC
Contact information
Practice address
5423 JOSIE CT, ELLICOTT CITY, MD 21043-7160
(410) 591-3286
Mailing address
5423 JOSIE CT, ELLICOTT CITY, MD 21043-7160
(410) 591-3286
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3814236
MD
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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